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Home My WebLink About2289 LINDSAY DR; ; CB013738; Permit' • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-06-2001 Plumbing Permit Permit No:CB013738 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2289 LINDSAY DR CBAD PLUM 2121013600 Lot#: 0 Construction Type: NEW BRAUN -REPLACE GAS LINE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/04/2001 JM 12/04/2001 12/04/2001 HANNA PLUMBING BRAUN SURVIVORS TRUST 07-30-90 643 S. SANTA FE VISTA CA 92083 760-726-2002 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 2289 LINDSAY DR CARLSBAD CA 92008 Total Payments To Date: $27.00 0 0 0 0 0 1 0 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $0.00 Inspector: M,.L FINAL APPROVAL Date: .11/¼,, Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely fo!low that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otheiwise exoired. FOR OFFICE USE ONLY PLAN CHECK No.{l56/3 l3? PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposi~ ~ z: 7'-~:::ated svf,2_ tf $ Business Name (at this address) Addr;,;s (~~elude Bldg/Suite #J Ke5,derd,· oJ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name 3. 4. Name Address 5. CONTRACTOR • COMPANY NAME \....1 ,C>r. Ct,.,i City State/Zip Telephone # Fax# Y2.0'&"3 72(;,•-2002- State/Zip Ca... '12008 ~ 3 l -l 5to&- State/Zip (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exam tion. Any violation of Sec1ion 7031.5 by y applicant for a permit subjects the a plicant to a civil penalty of not more than five hundred dollars 1$5001). ~ ~ s City State/Zip Telephone II State License II ] 0 5'7 4 0 License Class __ (__=---3-'"'--b"""-----City Business License II 4-1.. l '6' 0() NIA Designei'Name State License# ___________ _ Address City State/Zip Telephone (i. WORKE!IS' COMPENSAT_ION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. [5V" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ~ed. My w orker's compensation insurance carrier and policy number are: L Insurance Company \ Y\QCMn ,~ Policy No. µWCol\ 5<.fl-OQ Expiration Date O I _ 0 2.. (THIS SECTION NEED NOT BE COMPL; IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 00), In ad · _o the cost of compensation, damages as provided for in Section 3706 of the Labor code!terest and attorney's fees. SIGNATURE:--,,,.~-4:.::z'--..-::::;;,~:::i!:;.CS::...-,!________________ DATE /2/Q'f /_g I . _ r I :1, .:· OWNER-BUILDER.DECL I heieby affirm that I am exempt rom the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044>ilusiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsblf~ through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c~letion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does ncit apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). , 0 I am exempt under Section ' -Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit-for the proposed work. 3. I have contractsd with the following person (firm) to provide t~ro osed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to dinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. ____________________ ___:::...,,---------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to prov de the work indicated (include name I address / phone number/ type of work): :'::,, PROPERTY OWNER SIGNATURE _______________________ "'-o-~TE _________ _ COMPLETE TJilS SECTION FOR NON-RESIDENTIAL Bl,IILPING PERMITS ONLY · Is the apphcant or future building occupant required to submit a business plan, acutely hazardous materials registrat1 "--!<>_rm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 ~ Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality managem'e~istrict7 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO "'- IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 18. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. __________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\! of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY ·1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co e r a erio ays (Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance ____ ,, ----------------\ ... I UNSCHEDULED BUILDING INSPECTION INSPECTOR -/4,,0 -DATE . \J,-5-0\ PERMIT # Q \ :::::a:l :c,,c;z -PLAN CHECK# ____ _ r JOB ADDRESS 2Pz-,S,,C\ \ .,,\, ~dS<¼ ~ I\ . . ~ \ . DESCRIPTJON ____ l't __ 7'f::::~--.--.--"".~--------~~ LQ.e&. SJ<i~°"~ ~~ 1\-0/\_9 (S [ a._G, -a.eo·d-. CODE . DESCRIPTION • ACT COMMENTS ~ CAf !. ~~ "1~,f;lh , I rt:' c::'. ( -~ -